Childhood Depression as Emerging Public Health Problem: a Systematic Review
Keywords:Depression, Child, Childhood Depression, Mental Health Disorders
As an important problem of public health, the childhood depressionÂ deserves special attention, in which the serious and long term consequencesÂ of the disease weigh to the childhood development. TakingÂ this in consideration, the present study was based in the followingÂ research question: which practical contribution the actual scientificÂ literature about childhood depression has to offer to clinicians andÂ researchers? The aim of the present study was to evaluate the actualÂ evidence concerning the different aspects (etiology/risk factors, diagnosis,Â treatment, prognostic and prevention) of childhood depression,Â with the purpose to systematize such evidences and to contributeÂ with the knowledge about the problem. In way to reach this aim, itÂ was performed a systematic review of articles about childhood depression,Â in the period from January first of 2010 to January 16 ofÂ 2014, in the databases PubMED, MEDLINE and SciELO. In the research,Â the following terms were used: â€œdepressionâ€ (MeSH), â€œchildâ€ (MeSH)Â and â€œchildhood depressionâ€ (Keyword). Of the 860 found studies, 76Â met the eligibility criteria. The found studies covered a wide variety ofÂ aspects related to childhood depression, as diagnosis, treatment, preventionÂ and prognostic. The actual scientific literature about the childhoodÂ depression converges to, directly or not, highlight the negativeÂ impacts of the depression disorders to the life quality of the children.Â Unfortunately, the found studies show that the childhood depressionÂ is a disorder that develops most commonly in a poverty and vulnerabilityÂ scenery, where the individual and familiar necessities concerning
the childhood depression are not always taken in consideration. InÂ this context, this review demonstrates that the depression started in the childhood commonly leads to others psychiatric disturbs and comorbidities.Many of the found studies also confirmed the hypothesis that the human element involved in the care, especially the health professionalsâ€™ team, is still not adequately capacitated to deal with the childhood depression. In this way, additional researches focusing the development of programs destined to prepare health professionals to treat childhood depression are necessary, plus to complementary studies, with bigger and more homogeneous samples, centered in the prevention and in the treatment of childhood depression.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under aÂ Creative Commons Attribution LicenseÂ that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeÂ The Effect of Open AccessÂ and Benefits of Publishing Open Access).